Zitelmi-h Tablet

ZITELMI-H TABLET

ZITELMI-H TABLET, manufactured by FDC LIMITED, is a combination medication primarily used for the management of hypertension (high blood pressure).

• Name:

  • Brand Name: ZITELMI-H TABLET
  • Common Name: Telmisartan and Hydrochlorothiazide tablets

• Composition: Each tablet contains a combination of two active ingredients:

  • Telmisartan: 40 mg
  • Hydrochlorothiazide: 12.5 mg Telmisartan is an angiotensin II receptor blocker (ARB) that works by relaxing and widening blood vessels. Hydrochlorothiazide is a thiazide diuretic (water pill) that helps the body eliminate excess water and salt, thereby reducing fluid volume. Together, these components reduce strain on the heart and lower blood pressure.

• Uses: ZITELMI-H TABLET is prescribed for:

  • Management of hypertension (high blood pressure).
  • Reducing the risk of cardiovascular events such as heart attack and stroke.
  • Managing edema (fluid retention) caused by conditions like heart failure, liver cirrhosis, and nephrotic syndrome.

• Dosage and Administration:

  • Typically taken once a day, as advised by a physician.
  • Can be taken with or without food.
  • Swallow the tablet whole with a glass of water; do not chew, crush, or break it.
  • It is advisable to take the medicine at the same time each day to maintain consistent blood levels.
  • Due to its diuretic effect, it is best to avoid taking this medicine within four hours of going to bed.
  • Do not stop taking the medicine without consulting your doctor, even if you feel better.

• Side Effects:

  • Common Side Effects: Dizziness, low blood pressure (causing dizziness while standing up), headache, fatigue, nausea, diarrhea, dry mouth, muscle pain or spasm, back pain, pins and needles (paraesthesia), increased blood uric acid levels, low or high blood potassium levels, erectile dysfunction, and cold/flu symptoms.
  • Serious Side Effects (Contact your doctor immediately if you experience): Severe allergic reactions (skin rash, itching/swelling, severe dizziness, breathing difficulty), eye pain, swelling, or decrease in vision (signs of fluid accumulation in the eye), increased skin sensitivity to sunlight (sunburn, redness, itching, swelling, blistering), or signs of severe dehydration (dry mouth, weakness, drowsiness, restlessness, muscle weakness, fast heart rate).

• Precautions:

  • Inform your doctor if you have any heart, liver, or kidney problems, diabetes, low blood pressure volume, or are severely dehydrated.
  • Not recommended for use in pregnant or breastfeeding women as it may cause harm to the fetus or infant.
  • Caution is advised when driving or operating heavy machinery if you experience dizziness or drowsiness.
  • Avoid alcohol consumption as it can further lower blood pressure and increase the risk of side effects like dizziness.
  • Your doctor will monitor kidney function, blood pressure, electrolyte levels (especially potassium), and blood sugar levels regularly during treatment.
  • Avoid potassium-rich foods (e.g., bananas, potatoes) and potassium supplements unless advised by your doctor, due to the risk of hyperkalemia.
  • Not recommended for use in children below 18 years of age.

• Storage:

  • Store ZITELMI-H TABLET at room temperature, in a cool and dry place, protected from direct sunlight, moisture, and heat.
  • Keep out of the reach of children and pets.

What is Zitelmi-H Tablet used for?

Zitelmi-H Tablet is primarily used to treat hypertension, also known as high blood pressure. It helps to lower blood pressure, reduce the strain on the heart, and thus decrease the risk of serious cardiovascular events such as strokes and heart attacks. Additionally, it can be used to manage oedema (fluid retention) resulting from conditions like heart failure, liver cirrhosis, or nephrotic syndrome.

How does Zitelmi-H Tablet work?

This medication contains two active ingredients: Telmisartan and Hydrochlorothiazide. Telmisartan is an angiotensin II receptor blocker (ARB) that works by relaxing and widening blood vessels, allowing blood to flow more easily. Hydrochlorothiazide is a thiazide diuretic (water pill) that helps the body eliminate excess salt and water, which reduces fluid volume and lowers blood pressure.

What is the usual dosage for Zitelmi-H Tablet?

Zitelmi-H Tablet is typically taken once a day, with or without food, as prescribed by your doctor. It should be swallowed whole with water. The exact dosage and duration of treatment will depend on your specific condition and how you respond to the medicine. It's often recommended to avoid taking it within four hours of bedtime due to its diuretic effect, which can increase urination.

What are the possible side effects of Zitelmi-H Tablet?

Common side effects may include dizziness, headache, fatigue, nausea, diarrhea, back pain, and cold/flu symptoms. Other possible side effects include low or high blood potassium levels, pins and needles sensation, dry mouth, muscle pain, and increased blood uric acid levels. Serious but rare side effects can include severe allergic reactions, eye pain or decreased vision, increased skin sensitivity to sunlight, and signs of severe dehydration.

Is Zitelmi-H Tablet safe during pregnancy or breastfeeding?

No, Zitelmi-H Tablet is not recommended during pregnancy, particularly in the second and third trimesters, as it may cause serious harm to the developing fetus. It is also not advised for nursing mothers because its components are known to pass into breast milk, although the effects on the baby are not fully known. Always consult your doctor if you are pregnant, planning to conceive, or breastfeeding.

Can Zitelmi-H Tablet be taken with other medications?

Zitelmi-H Tablet can interact with various other medications. These include cardiac glycosides (like digoxin), anticoagulants (like warfarin), Non-Steroidal Anti-Inflammatory Drugs (NSAIDs) such as ibuprofen, skeletal muscle relaxants, some antidepressants (like lithium), and other blood pressure medications (such as ACE inhibitors like lisinopril or ramipril). It's crucial to inform your doctor about all medicines, supplements, and herbal products you are currently taking to avoid potential interactions.

What precautions should be taken while using Zitelmi-H Tablet?

Before taking this medicine, inform your doctor if you have kidney disease, liver disease, heart problems (including low blood pressure or irregular heart rhythm), diabetes, glaucoma, gout, or a history of allergies or skin cancer. Regular monitoring of your blood pressure is advised. You should drink plenty of fluids to prevent dehydration, especially due to the diuretic effect. Limit or avoid alcohol consumption as it can increase dizziness and further lower blood pressure. Exercise caution when driving or operating machinery as the medicine may cause dizziness or drowsiness. Do not stop taking the medicine without your doctor's advice, as sudden discontinuation can be dangerous.

What happens if a dose of Zitelmi-H Tablet is missed?

If you forget to take a dose, take it as soon as you remember. However, if it's almost time for your next scheduled dose, skip the missed dose and continue with your regular dosing schedule. Do not take a double dose to make up for a missed one. If you frequently miss doses, setting a reminder or consulting your doctor for advice on remembering your medication can be helpful.

How should Zitelmi-H Tablet be stored?

Zitelmi-H Tablet should be stored at room temperature in a cool, dry place. Protect it from direct sunlight, moisture, and heat. Always keep the medication out of the sight and reach of children and pets.